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Related Experiment Videos

Bilateral phakic hypermetropic epikeratoplasty for accommodative esotropia.

D A Hiles1, K P Cheng

  • 1Department of Ophthalmology, University of Pittsburgh School of Medicine, Children's Hospital, Pennsylvania.

Journal of Cataract and Refractive Surgery
|May 1, 1990
PubMed
Summary

Bilateral phakic hypermetropic epikeratoplasty successfully treated accommodative esotropia in a patient intolerant to glasses. This refractive surgery offers an alternative for managing high hypermetropia and esotropia in specific patient groups.

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Area of Science:

  • Ophthalmology
  • Refractive Surgery

Background:

  • Optical correction with glasses is the standard treatment for accommodative esotropia, particularly in cases of high hypermetropia.
  • Adolescents and young adults often exhibit poor acceptance of glasses due to cosmetic concerns, weight, and the recurrence of esotropia upon removal.

Observation:

  • A case study involving an 11-year-old female with high hypermetropia and accommodative esotropia, successfully managed with glasses but intolerant to wear.
  • The patient refused contact lenses, necessitating an alternative treatment approach.

Findings:

  • Bilateral phakic hypermetropic epikeratoplasty was performed, resulting in uncorrected visual acuity of 20/40 and 20/20 two years post-surgery.
  • The patient maintained orthophoria at distance and exhibited minimal esophoria at near without glasses, with stable vision in the previously amblyopic eye.

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Implications:

  • Epikeratoplasty presents a viable surgical option for treating accommodative esotropia in patients beyond the critical age for amblyopia development.
  • This procedure is suitable for individuals with a stable strabismus angle who rely on full hypermetropic correction to maintain ocular alignment.